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Episode
Why You Wake Up at 3AM (& How to Fall Back Asleep FAST)
~23 min
Episode Brief·YouTube

Why You Wake Up at 3AM (& How to Fall Back Asleep FAST)

Eric Berg
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TL;DR

The four things you'd lose by not watching

4 items

TL;DR

The four things you'd lose by not watching

4 items
1

Waking up at 1–3 AM is not an adrenal problem as Eric Berg previously taught; it’s a liver issue caused by insulin resistance, which triggers blood sugar swings and an adrenaline surge that jolts you awake.

2

The fix is a multi-pronged liver-support strategy: stop eating 4 hours before bed, adopt a low-carb/ketogenic diet so the brain runs on ketones instead of glucose, and use bile salts (Tutka) to thin bile if you have right-rib pressure.

3

Morning sunlight and evening dimming reset the cortisol/melatonin cycle to prevent early-morning waking, while exercise, magnesium glycinate with zinc, and avoiding late-night snacking build sleep pressure.

4

Berg’s personal timeline: he spent years treating his own 3 AM waking with adrenal supplements—without success—until he addressed his liver via keto, bile support, and eliminating processed foods.

Protocols

Concrete recipes — what, when, how much, and why

11 items

4-hour pre-sleep fasting window

WhatStop all food at least 4 hours before bedtime.
WhenEvery night; align the fasting window so the last meal is no later than 4 hours before sleep.
Dose4 hours minimum; indefinite.
For whomAnyone waking between midnight and 3 AM, especially those with belly fat or a history of snacking after dinner.
WhyLate-night eating keeps the liver active and insulin elevated, leading to blood sugar drops that trigger adrenaline and wake you up.
CaveatsIf hunger disrupts sleep early in the protocol, taper snacking gradually.

Berg describes his old habit of constant grazing from dinner until bedtime, calling it the likely start of his health decline. He argues that even a small snack near bedtime forces the liver to process glucose and secrete insulin, setting up a reactive hypoglycemia hours later. Since insulin-resistant livers already overproduce sugar, the combination creates exaggerated swings. He notes that the first swing typically hits between midnight and 1 AM, and although it’s subtle, it can shave off the last hour of rest and accumulate into chronic sleep fragmentation. His behavioral advice includes clearing the house of all junk foods—'you only need to say no once at the grocery store'—to reduce temptation. This simple fasting rule is the first step in his six-part plan.

Mechanism

Food intake, especially carbohydrates, raises blood glucose and triggers insulin release. In insulin-resistant individuals, the pancreas overshoots, causing a rapid glucose drop a few hours later. The brain detects low fuel, and the hypothalamus signals the adrenals to release adrenaline, which rapidly mobilizes liver glycogen. The adrenaline surge simultaneously activates the sympathetic nervous system, making the person wide awake with a racing heart. By removing late food, the insulin-glucose-adrenaline cascade is dampened.

Personal experience

‘I used to snack between the time I would get done eating dinner till right before I would go to bed. It was a constant grazing. I did this for a long period of time. And that was probably the start of my downward cycle with my health.’

Number one, stop eating 4 hours before bed. Snacking is the killer.

Also said
“When you go to the grocery store, do not buy any junk foods. Keep your house clear of all these junk foods… when you go to the grocery store, you only need to say no once.”— Provides the environmental strategy to enforce the fasting window.
“In this blood sugar swing, the first swing is usually at midnight, between midnight and 1:00 a.m. And most people don't notice the swing because it's very, very minor. But this swing of blood sugar is occurring and reacting from your last meal.”— Connects the timing of the last meal to the first sleep-disturbing blood sugar event.

Morning blue-light exposure and evening dimming

WhatWithin the first hour of waking, go outside and expose your eyes to natural sunlight. Three hours before bed, dim indoor lights and avoid bright LEDs.
WhenEvery morning upon waking, and every evening before sleep.
DoseAt least 10–15 minutes outdoors in the morning; dark or dim environment for the 3 hours before bedtime.
For whomPeople who wake too early (e.g., 4–5 AM) and cannot fall back asleep, or those with a delayed circadian rhythm.
WhyMorning blue light sets the cortisol rhythm to its proper morning peak, preventing a late cortisol spike that wakes you around 5 AM. Evening darkness triggers melatonin to make you sleepy.
CaveatsConsistency is essential; missing a day can push the sleep phase later again. Avoid using bright screens before bed.

Berg separates the 3 AM awakening (liver/adrenaline) from the early-morning awakening (cortisol timing). He explains that the cortisol peak normally occurs around 8 AM, but if you don't get morning light, the peak shifts later, eventually pulling you out of sleep at 5 AM. The protocol mirrors the natural light-dark cycle: sunlight’s blue spectrum stimulates cortisol via the retina, anchoring the circadian clock. Conversely, artificial blue light from LEDs in the evening artificially raises cortisol and suppresses melatonin. He recommends gradually dimming lights and avoiding screen glare in the last three hours before sleep. This strategy, combined with the liver fixes, covers the full night.

Mechanism

Intrinsically photosensitive retinal ganglion cells detect blue light and signal the suprachiasmatic nucleus (SCN), which then directs the adrenal glands to produce cortisol. Morning light advances the phase of the cortisol rhythm; dimness in the evening permits the pineal gland to secrete melatonin. The timing of light exposure is the strongest zeitgeber for the human circadian system.

In the morning, it's very, very important to get outside and be exposed to blue light from the sun. The blue light actually increases cortisol.

Also said
“But if we start training the body very consistently to get outside, let the sun wake us up, then when it starts to get dark outside and you start to go inside your house, about 3 hours before you go to sleep, you want to start turning down the light.”— Gives the precise timing for the evening dimming protocol.
“Darkness stimulates melatonin which actually starts to make you more tired.”— Completes the circadian logic of light and dark.

Daily physical exertion for sleep pressure

WhatEngage in weight training, resistance exercise, high-intensity interval training (HIIT), or outdoor physical work each day.
WhenDuring the daytime; not immediately before bed.
DoseAt least one session per day; intensity sufficient to build fatigue.
For whomAnyone with light or fragmented sleep, especially those with sedentary desk jobs.
WhySleep pressure declines with age and inactivity; vigorous physical activity rebuilds the homeostatic drive that pushes you into deep sleep.
CaveatsAvoid heavy workouts too close to bedtime, as a spike in norepinephrine may interfere with sleep onset. Also, limit excessive caffeine that can mask sleep pressure.

Berg touches on the concept of sleep pressure without naming adenosine explicitly. He points out that sitting all day in front of a computer fails to create the physical tiredness necessary for deep, restorative sleep. He contrasts this with a day that includes a long walk, resistance training, or outdoor labor. He also warns against overuse of stimulants like coffee, which artificially counteract sleepiness and reduce the perceived pressure that helps you fall and stay asleep. While he doesn’t go deep into this topic, it’s one of his two immediate tips for damaged sleep pressure, alongside magnesium.

Mechanism

Physical activity increases adenosine accumulation in the basal forebrain, which increases sleep pressure and promotes slow-wave sleep. It also improves insulin sensitivity, indirectly stabilizing blood sugar at night.

Weight training, exercise, resistance training, highintensity interval training, doing physical work outside, all increase that sleep pressure at night versus not working out.

Also said
“You're sitting at your desk in front of the computer all day. You didn't get a chance to go for a long walk. You're not going to have any sleep pressure.”— Illustrates the modern lifestyle that sabotages sleep drive.

Magnesium glycinate with zinc in the evening

WhatTake magnesium glycinate, optionally combined with zinc, before bed.
WhenEvening, around 30–60 minutes before sleep.
DoseUnspecified dose; Berg mentions he personally uses this combination.
For whomAnyone with difficulty falling or staying asleep; especially those with insulin resistance or anxiety.
WhyMagnesium relaxes muscles, lowers cortisol, and improves insulin sensitivity; zinc seems to potentiate the sleep effect.
CaveatsStart with a low dose of magnesium glycinate, as high amounts can cause loose stools. Zinc can cause nausea on an empty stomach.

While Berg’s main focus is the liver, he includes this as a simple, fast-acting support. He mentions that he had been taking magnesium glycinate but recently added zinc and noticed even better sleep. The combination fits his insulin-resistance angle because both minerals play roles in glucose metabolism. He doesn’t elaborate on mechanism, but this is presented as a practical, low-risk add-on.

Mechanism

Magnesium is a cofactor for GABA receptors, promoting neural inhibition and muscle relaxation. It also helps regulate the HPA axis, blunting excessive cortisol. Zinc is involved in melatonin synthesis and may enhance sleep quality through GABAergic signaling and insulin signaling pathways.

Personal experience

‘Lately, I found if I take zinc with magnesium both together, that actually helps my sleep even more.’

Lately, I found if I take zinc with magnesium both together, that actually helps my sleep even more.

Low-carb/ketogenic diet to run the brain on ketones

WhatAdopt a low-carbohydrate, high-fat ketogenic diet so the brain primarily uses ketones for overnight fuel.
WhenLong-term dietary change; transition over 1–2 weeks if sleep problems arise at the start.
DoseGradually reduce carbs to below 50 g/day, then to 30 g/day or less, until full ketosis. Continue indefinitely.
For whomAnyone with insulin resistance, fatty liver, or chronic 1–3 AM waking; especially those who have failed adrenal treatments.
WhyKetones bypass the glucose-insulin-adrenaline loop, providing stable brain energy without blood sugar swings. This directly fixes the root cause of 3 AM waking.
CaveatsDuring the adaptation phase (days to 2 weeks), some people may still wake at night due to low glucose before ketone production ramps up. Slow carb reduction minimizes this. Not advised for type 1 diabetics without medical supervision.

Berg explains that the brain can run on ketones as well as glucose, and that only a small percentage of the brain absolutely requires glucose—the rest can use ketones. Since the liver can produce that small glucose requirement endogenously (gluconeogenesis), a low-carb diet effectively stabilizes brain fuel throughout the night. This bypasses the entire insulin-resistance problem: no dietary glucose means no insulin spikes, no reactive hypoglycemia, no adrenaline surge. He calls it the 'best way' to not only feed the brain but to heal the liver itself. For those who struggle with sleep when first cutting carbs, he says the issue is the gap before full ketone adaptation; cutting carbs slowly over a week or two allows the body to adjust without the sleep disruption. He promises that once adapted, users will sleep through the night. He contrasts this with simply taking supplements, implying dietary change is the deeper solution.

Mechanism

In a low-insulin state, the liver converts fatty acids into beta-hydroxybutyrate and acetoacetate (ketones). Ketones cross the blood-brain barrier via monocarboxylate transporters and serve as an efficient, steady fuel for neurons. Unlike glucose, their supply does not depend on insulin-regulated liver glycogen, so there are no sharp drops. The brain’s small glucose requirement is met by hepatic gluconeogenesis, which is stable in ketosis. Adrenaline is not triggered, preserving sleep.

Personal experience

Berg shares that he wishes he had known about this decades earlier, implying he personally benefited from keto to solve his own sleep issues.

The real cool thing about this is the small amount of glucose the brain needs can be produced by the liver itself. So if you go on the ketogenic diet, … you bypass this insulin resistance problem. You literally bypass the whole thing and you get fuel right into the brain and the results are incredible.

Also said
“Go low carb. Get your body running on ketones, not glucose through the night. Okay, it's going to solve your sleep problems. I will promise you that.”— The strongest, most confident recommendation in the entire video.
“For those people that have problems sleeping when they start keto, I think the best recommendation is to slowly kind of do it, not to do what most people do is they just dive in and they go really low carb right off the bat.”— Addresses the major caveat and gives a practical workaround.

Bile-flow support with bitter foods and bile salts

WhatConsume bitter greens (arugula, dandelion greens) or take bile salt supplements twice daily on an empty stomach.
WhenBitter foods with meals; bile salts (Tutka) two pills on an empty stomach in the morning and two in the afternoon.
DoseBitter greens daily; bile salts 2 pills morning + 2 pills afternoon, ongoing until symptoms resolve.
For whomAnyone with a feeling of fullness or dull ache under the right rib cage, bloating, referred pain to the right shoulder blade or rhomboid area, or a history of gallbladder issues.
WhyThick, sluggish bile contributes to liver congestion, right-rib pressure, right shoulder pain, and gallstones. Bitter compounds and bile salts thin the bile and open the ducts, relieving liver pressure.
CaveatsIf you have known gallstones, bile salts could theoretically trigger a contraction that pushes a stone into a duct; consult a practitioner. Start slowly.

Berg devotes significant time to his own long-standing, undiagnosed liver and gallbladder congestion. For years he felt a constant dull ache under his right ribs and right rhomboid muscle tension. He repeatedly saw a chiropractor for adjustments that never held because the root cause was a swollen liver and stagnant bile putting pressure on the phrenic nerve. He only figured it out decades later. Now, he teaches that the ratio of cholesterol to bile is often too high, causing sludge. Bitter foods stimulate bile production and flow, while exogenous bile salts like Tutka can physically thin the bile, open ducts, and reduce the backup pressure. He advises sleeping on the right side to avoid the liver compressing the heart when it is swollen. This protocol is especially relevant for people who have both sleep fragmentation and the described physical symptoms.

Mechanism

Bitter compounds activate T2R taste receptors in the gut, triggering vagal signals that increase hepatic bile synthesis and gallbladder contraction. Exogenous bile salts integrate into the bile acid pool, reducing the cholesterol saturation index and viscosity, which helps clear micro-sludge and prevents stone formation. Improved bile flow relieves hepatic congestion and the referred pain via the phrenic nerve.

Personal experience

‘I've had tension up on my right shoulder right here. For years, I had no idea where that was coming from. … I would go to the chiropractor and get adjusted, adjusted, adjusted, adjusted. Never fixed it. It kept coming back because it was related to my gallbladder and my liver.’

There's one really good remedy that I've recommend in a lot of videos. It's called Tutka, a type of bile salt. You would just take two of these on an empty stomach in the morning and then I recommend taking two in the afternoon.

Also said
“I wish I would have known about this 20 years ago or 30 years ago.”— Highlights the personal regret and long diagnostic delay.
“You're going to actually feel like, ‘Wow, I don't feel that heaviness underneath my right rib cage anymore. I feel better down here.’ It won't back up all this pressure and it's really going to help right shoulder pain.”— Promises specific symptomatic relief, connecting the protocol to daily quality of life.

Sleep on the right side for liver congestion

WhatIf you have a swollen liver or feel discomfort under the right rib cage, sleep on your right side to avoid compressing the heart and improve comfort.
WhenWhile sleeping, particularly if you have the described pressure or pain.
DoseAdopt as needed until liver congestion resolves.
For whomThose with liver enlargement or dull ache under the right ribs.
WhyA swollen liver can press on the heart when lying on the left side, causing restlessness and breathing issues; the right side relieves this.
CaveatsThis is a symptomatic relief, not a cure; liver repair through diet and bile support should be concurrent.

Berg adds this tip while sharing his own experience of restless sleep and the full sensation under his ribs. He notes that people with that problem are very restless and don't sleep well. Sleeping on the right side can make the night more comfortable until the liver heals.

Mechanism

The liver sits in the right upper quadrant; when enlarged, gravity can pull it away from the mediastinum on the right side, reducing cardiac compression and improving diaphragmatic breathing.

Personal experience

‘You want to be sleeping on your right side. You're going to feel more comfortable or you're going to sleep better on your right side because if you sleep on the left side, the liver is a little too swollen. It's going to kind of compress the heart and it could affect your breathing.’

You want to be sleeping on your right side. You're going to feel more comfortable or you're going to sleep better on your right side.

Apple cider vinegar before meals

WhatDrink 1 tablespoon of apple cider vinegar in a glass of water before meals.
WhenBefore meals; also suggested in the evening.
Dose1 tablespoon in water, 1–3 times daily.
For whomThose with insulin resistance, prediabetes, or reactive hypoglycemia.
WhyHelps blunt post-meal blood sugar spikes and may improve insulin sensitivity.
CaveatsCan erode tooth enamel; drink through a straw and rinse mouth. May cause GI upset in sensitive individuals.
Mechanism

Acetic acid delays gastric emptying and inhibits starch-digesting enzymes, leading to a slower, lower glucose rise. It also improves skeletal muscle glucose uptake.

Apple cider vinegar, like a tablespoon in a glass of water before meals can really help you and even in the evenings greatly help you.

Vitamin B1 (thiamine) for mental stress and blood sugar

WhatSupplement with vitamin B1 (thiamine) to reduce mental tension, anxiety, and support mitochondrial function.
WhenCan be taken daily; timing not specified but likely with food.
DoseDose unspecified; suggested especially for those with diabetes or high-carb history.
For whomPeople with racing thoughts before sleep, anxiety, diabetes, or a history of high carbohydrate intake.
WhyThiamine is crucial for carbohydrate metabolism and mitochondrial energy production; deficiency worsens anxiety and insulin resistance.
CaveatsHigh doses may cause mild stomach upset; rare allergies exist.
Mechanism

Thiamine pyrophosphate is a coenzyme for pyruvate dehydrogenase and alpha-ketoglutarate dehydrogenase, key enzymes in glucose oxidation and the Krebs cycle. In high-carb contexts, demand spikes, and deficiency impairs neuronal energy metabolism, manifesting as mental tension.

Vitamin B1 is one of the best things for mental stress and you're like thinking before you go to sleep. It gets rid of mental tension. It's great for anxiety.

Potassium and magnesium for insulin resistance

WhatIncrease intake of potassium-rich foods (avocados, leafy greens) or electrolyte supplements, alongside magnesium, to reduce insulin resistance.
WhenDaily, through food or supplements.
DoseUnspecified; dietary sources preferred.
For whomAnyone with insulin resistance, especially those on low-carb diets who may lose more electrolytes.
WhyBoth minerals are needed for proper insulin signaling and glucose uptake; deficiency exacerbates insulin resistance.
CaveatsPotassium supplements should be used cautiously in kidney disease or with certain medications.
Mechanism

Magnesium acts as a cofactor for insulin receptor autophosphorylation and tyrosine kinase activity. Potassium is involved in the electrogenic transport that accompanies glucose uptake into cells. Low levels impair insulin sensitivity.

Magnesium is super important in sleep, relaxation of muscles, and lowering of cortisol and helping you fix insulin resistance as well as this other mineral called potassium.

Quality animal protein for liver detox and blood sugar

WhatInclude adequate high-quality animal protein in your diet to support liver detoxification and stabilize blood sugar.
WhenAt meals, ideally as part of the ketogenic or low-carb eating pattern.
DoseAmount not specified; a standard serving per meal.
For whomAll individuals, especially those repairing a fatty liver.
WhyProtein provides amino acids needed for phase II liver detox pathways and helps blunt post-meal glycemic responses.
CaveatsExcess protein can be converted to glucose via gluconeogenesis, but in the context of a low-carb diet this is generally self-limiting.
Mechanism

Amino acids like glycine, cysteine, and methionine are required for glutathione synthesis and sulfation, key detoxification processes. Protein also stimulates glucagon, which opposes insulin and stabilizes blood glucose.

Let's not forget quality of protein. Animal protein is needed to actually help you detox, but it's also needed to help establish your blood sugar.

What's new

Personal practice updates, fresh positions, predictions

1 item

liver-as-root-cause-of-3am-waking

Berg publicly reverses his long-standing teaching that waking in the middle of the night is an adrenal problem. He now attributes it to liver dysfunction, specifically insulin resistance causing overnight blood sugar swings that trigger an adrenaline wake-up.

Why this matters: He admits his previous advice was wrong, shares that he personally failed with adrenal supplements, and presents a new explanatory model centered on the liver, backed by his own health turnaround.

Background

For years, Berg’s videos taught viewers that 2–3 AM waking was an adrenal issue (adrenal fatigue or cortisol dysregulation) and recommended adrenal support. This shift marks a significant correction of his public stance.

Berg explains that the brain is nearly 100% dependent on liver-stored glycogen at night. A healthy liver can supply glucose steadily. But when the liver is fatty or insulin-resistant, it overproduces sugar but fails to maintain a stable level, causing repeated spikes and crashes. Each drop in blood sugar prompts the release of adrenaline to mobilize stored sugar, and that adrenaline wakes you up with a pounding heart. He had taught the adrenal narrative for years, yet when he himself suffered from 3 AM waking, adrenal supplements did nothing. He says it took him a very long time to finally sleep through the night—until he targeted the liver. In addition, he notes that a cortisol-driven early-morning wake-up (around 5 AM) is a separate circadian issue addressed by morning light exposure, not liver repair. This reclassification fundamentally changes the intervention from adrenal cocktails to metabolic and dietary liver support.

Personal experience

‘I remember when I had this problem, I took so many adrenal supplements and I did not get better. In fact, it took me a very long time before I actually was able to sleep through the night.’

This problem getting up in the middle of the night is not an adrenal problem. And I taught people in many videos, if you have a problem in the middle of the night, it's an adrenal problem. Well, I am changing my viewpoint on that.

Also said
“My main point is when you solve the wrong problem, you will not be able to get rid of your issue.”— Encapsulates why the switch in diagnosis matters practically.
“When you really finally identify the right problem, you can get it fixed and things will turn around.”— Reinforces that the new liver model is actionable.

Recommendations

Products, supplements, and tools mentioned in the episode

1 item

Tutka bile salts

Supplement

Recommended to thin bile, relieve liver congestion, reduce right shoulder pain, and support gallbladder function.

Berg positions Tutka as the solution for sludge-like bile that causes pressure, bloating, and referred pain. He says you take two on an empty stomach in the morning and two in the afternoon, and it will start to thin the bile and open the ducts. He mentions it in the context of bitter foods but presents this as a more potent, direct intervention. He wishes he had known about it decades ago. No direct comparison to other brands is made.

Personal experience

He implies he used it himself to resolve his long-standing right rib and shoulder symptoms.

There's one really good remedy that I've recommend in a lot of videos. It's called Tutka, a type of bile salt. You would just take two of these on an empty stomach in the morning and then I recommend taking two in the afternoon.

Also said
“It's going to start to thin the bile. It'll start opening up these ducts.”— Describes the expected physiological action.
Find Tutka
Disclosed sponsorships1speaker disclosed

Cold-pressed organic castor oil (Berg's brand)

Product Sponsored · disclosed

It is a skin and eyelash treatment applied before bed, unrelated to sleep but promoted during the sleep video.

DisclosureBerg presents it as a new product he is excited about, clearly his own brand. He says, 'This is a short FAQ on a new product that I'm really excited about. This is coldpressed organic castor oil.'

Berg explains the product is cold-pressed (no heat used) and organic, preserving vitamin E for skin benefits. He recommends applying a small amount to fingertips and rubbing it into eyelashes or skin, letting it work overnight. This is a classic mid-roll product plug inserted into the video's FAQ segment.

What I recommend is you take just a little bit on your fingertips and rub it into either your eyelashes or your skin and let it penetrate and work all night long.

Also said
“First thing you need to know is coldpressed means they don't use any heat. And of course, you know what organic is without pesticides, insecticides, things like that.”— Explains the product's key selling points.
Find Cold-pressed

Notable quotes

Lines worth pulling out — contrarian, specific, or perfectly phrased

6 items
If you look down, you can see your belly. That means you have a fatty liver.
A blunt, memorable heuristic for self-diagnosis that cuts through medical jargon.
When you solve the wrong problem, you will not be able to get rid of your issue.
The core thesis justifying his entire pivot away from the adrenal model; applies universally beyond sleep.
Snacking is the killer.
Delivered with stark finality, distilling his decades of dietary advice into a single punchy sentence.
Your liver is not a store of toxins. It's an organ that is supposed to get rid of toxins, and it needs sulfur foods to get rid of them.
Challenges the common trope that the liver is a passive 'filter' that accumulates poison; reframes it as an active detox organ that requires nutrients.
I would go to the chiropractor and get adjusted, adjusted, adjusted, adjusted. Never fixed it. It kept coming back because it was related to my gallbladder and my liver.
A rare self-critical admission from a chiropractor that musculoskeletal adjustments failed to address the visceral root cause of his pain.
Go low carb. Get your body running on ketones, not glucose through the night. Okay, it's going to solve your sleep problems. I will promise you that.
An unconditionally strong promise from a clinician, showing high confidence in the ketogenic solution.

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Topics covered

3am-wakingliver-healthinsulin-resistanceblood-sugar-swingsadrenalinecortisolcircadian-rhythmsleep-pressureketogenic-dietfatty-liverbile-saltscholinesulfur-foodslate-night-snackingseed-oilsultra-processed-foodsgallbladder-painmagnesium-glycinatecastor-oil
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Educational summary of the cited expert source — not medical advice. Open the source recording linked above and consult a qualified physician before acting on any protocol.